GAINSVILLE ALLERGY, ENT AND PLASTIC SURGERY


Address: 1902 Hospital Blvd Ste C, Gainesville, TX 76240-2008
Phone: 9406128850

GAINSVILLE ALLERGY, ENT AND PLASTIC SURGERY (NPI# 1841662087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841662087
Entity Type Organization
Organization Name GAINSVILLE ALLERGY, ENT AND PLASTIC SURGERY
Practice Address 1902 Hospital Blvd Ste C
Gainesville
TX 76240-2008
Practice Telephone 9406128850
Practice Fax Number 9406128856
Mailing Telephone 9406128850
Mailing Fax Number 9406128856
Enumeration Date 2015-10-27
Last Update Date 2015-11-02
Authorized Official Name LARRY W NELSON SR. (DIRECTOR)
Authorized Official Telephone 9406128764
Is Organization Subpart Y
Parent Organization Name GAINSVILLE HOSPITAL DISTRICT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
TX Ambulatory Health Care Facilities
N 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 313274801 05

Office Location

Street Address 1902 HOSPITAL BLVD STE C
City GAINESVILLE
State TX
Zip Code 76240-2008

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NPI Name Taxonomy Address Enumeration
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1962903385 Kristin Marie Robinson Licensed Vocational Nurse 1802 Cr222, Gainsville, TX 76240 2018-02-21
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144719311 Northeast Georgia Diagnostic Associates and Clinic, LLC Clinic/Center 1240 Jesse Jewell Pkwy Se Ste 500, Gainesville, GA 30501-3861 2018-05-03
1295248656 Gainesville Hospital District Clinic/Center 1627 N Grand Ave, Gainesville, TX 76240-2343 2017-11-08
1306013941 Independent Physical Therapy of Ga, LLC Clinic/Center 1100 Sherwood Park Dr Ne Ste 140, Gainesville, GA 30501-3426 2008-05-13
1215976634 Northeast Georgia Diagnostic Clinic LLC Clinic/Center 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 2006-06-05

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Competitor

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City GAINESVILLE
Zip Code 76240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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